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Common post-operative problems with OA/TOF

OA/TOF is a lifelong condition. Although surgery may, in most cases, repair the original condition, common problems can still persist. 

The TOF cough – Tracheomalacia

Babies with OA/TOF tend to have soft tracheal cartilages in the region of the TOF and this causes the characteristic TOF cough that virtually all children have after OA/TOF repair.

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Respiratory problems and chest infections

Children born with OA/TOF certainly suffer more with respiratory infections than other children, particularly in the early years. This is not due to impaired immunity but a difficulty clearing the airways of the extra mucus during normal infections.

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Gastro-oesophageal reflux

Reflux is the return of stomach contents back up the oesophagus. 

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Lungs and airways

Most born with OA/TOF had an abnormal connection between the trachea and oesophagus removed at birth, and many will also have tracheomalacia and/or bronchomalacia (floppy upper airways).

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Anastomotic stricture

Narrowing of an oesophageal anastomosis as it heals is relatively common. This is called a stricture.

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Recurrent fistula

Sometimes during the healing process the fistula can reform.

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